Individual
NITIN A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 BLARNEY DR STE 108, COLUMBIA, SC 29223-6291
(803) 462-9200
(803) 699-1474
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24190
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241900
—
SC
01
—
P00758129
MEDICARE RAILROAD PTAN
SC
01
—
P00779661
MEDICARE RAILROAD PTAN
SC
Enumeration date
03/17/2006
Last updated
03/01/2022
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